急诊行髂内动脉栓塞治疗16例骨盆骨折并大出血  

Effects of internal iliac artery embolization in emergency treatment of pelvic massive hemorrhage with fractures

作　　者：张建兵[1] 康健[1] 孟菁[1] 董姝昉[1] 任小兰[1] 

机构地区：[1]晋城煤业集团总医院放射科,山西晋城048006

出　　处：《实用医学影像杂志》2010年第2期125-127,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨髂内动脉栓塞治疗骨盆骨折并大出血的临床效果。方法对16例骨盆骨折并大出血患者,经保守治疗无效,急诊行单侧或双侧髂内动脉造影,明确出血部位后,经导管用明胶海绵或弹簧圈栓塞。结果 16例骨盆骨折并大出血患者经髂内动脉栓塞后活动性出血停止,除1例死于术后70h外,绝大多数患者的出血性休克得到明显控制。结论髂内动脉栓塞是治疗骨盆骨折并大出血的一个快速、合理、有效的方法。Objective To evaluate the clinical effects of internal iliac artery embolization in emergency treatment of pelvic massive hemorrhage with fractures. Methods Sixteen patients with pelvic fracture and massive hemorrhage initially underwent unilateral or bilateral internal iliac artery angiography to identify the hemorrhagic sites after the conservative therapy which was unsuccessful and subsequently underwent transcatheter artery embolization （TAE） with gelatine sponge or spring coil. Results TAE was successfully performed and hemorrhaging arrested in all patients, simultaneously, the most patients whose hemorrhagic shock was controlled effectively except one case died at 70 h after TAE. Conclusion Internal iliac artery embolization is a quick, reasonable and effective modality for treating pelvic massive hemorrhage with fracture.

关 键 词：骨盆骨折 大出血 髂内动脉 栓塞 介入放射学 

分 类 号：R683[医药卫生—骨科学]